Individual provider · NPI-1

Emily Marie Abeyta, MD

Family Medicine · Waukesha, WI

NPI number1386905107
StatusActive
Last updated in NPPESMar 3, 2017

Details

NPI
1386905107
Entity type
Individual (NPI-1)
Name
Emily Marie Abeyta
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2012
Last updated
Mar 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine65878WIYes

Other names

  • Emily Marie Holtan (Former Name)

Practice location

210 Nw Barstow St
Waukesha, WI 53188-3771

Phone 262-548-6903

Mailing address

210 Nw Barstow St
Waukesha, WI 53188-3771

Phone 262-548-6903

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